STELLA KIAH JEFFERIES CRNP NPI 1568779478

NPI Information

NPI: 1568779478
Provider Name: STELLA KIAH JEFFERIES, CRNP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
11120 NEW HAMPSHIRE AVE
501
SILVER SPRING, MD
ZIP 20904
Phone: (301) 593-8300
Get Directions

Stella Kiah Jefferies, CRNP is an adult health nurse practitioner in Silver Spring, MD with 16 years of experience. Stella Kiah Jefferies, CRNP NPI is 1568779478. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11120 NEW HAMPSHIRE AVE
501
SILVER SPRING, MD
ZIP 20904-633
Phone: (301) 593-8300
Fax: (301) 593-8301

The NPI 1568779478 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/13/2010 and was last updated on 3/21/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	R161889	MARYLAND	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	050213800	MEDICAID	MARYLAND
2	082735300	MEDICAID	DISTRICT OF COLUMBIA
3	248892	MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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